INSURANCE CERTIFICATE by irues2342

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									Certificate Holder:
Ontario Highway Transport Board                                                                       Telephone: (416) 326-6732
151 Bloor Street West, 10th Floor                                                                     Facsimile: (416) 326-6738
Toronto, ON M5S 2T5                                                                                   Email: ohtb@ontario.ca                   Field Code Changed
Canada

                                                    Public (Passenger) Vehicle
                                                INSURANCE CERTIFICATE

 Name of Insured:


 Address:


 Insurance Company:
 Address:


 Policy Number(s)

 Effective Date(s):                                                 Expiry Date(s):

 NOTICE OF CANCELLATION OR EXPIRY OF INSURANCE:
 A Motor Vehicle Liability Policy as required by the Public Vehicles Act and the Regulations made thereunder, is in full force and effect on
 date hereof and will not be cancelled during its term or allowed to expire except upon 30 days prior written notice to the Ontario Highway
 Transport Board.

 This policy has the following coverage:
 Vehicles:                                                           (a)    Loss or damage resulting from bodily injury to
                                                                            or death of one or more Passengers;
 All vehicles owned and/or operated by the                                  (see “A” below)
 insured.
                                                                            $

                                                                     (b)    Damage to property of all passengers;
                                                                            (see “B” below)

                                                                            $

                                                                     (c)    The motor vehicle liability insurance required
                                                                            by section 251 of the Insurance Act.
                                                                            (see “C” below)

                                                                            $



________________________________________________________
Authorized Signature and Company Stamp (Insurance Company)

NOTE:    Requirements as set out in Section 14 of Regulations under the Public Vehicles Act are outlined below. Based on these
         requirements, please ensure that the Certificate meets all of the criteria. This form is optional. The Insurance Company can issue
         its own Certificate, as long as it meets all of the Regulatory requirements.

A.         AMOUNT OF INSURANCE (in Cdn. Dollars)                                SEATING CAPACITY IN EACH VEHICLE
           $1,000,000                                                            1 TO 7 PASSENGERS
           $5,000,000                                                            8 TO 12 PASSENGERS
           $8,000,000                                                           13 OR MORE PASSENGERS


 B.        $5,000 DAMAGE TO PROPERTY OF ALL PASSENGERS
 C.        The motor vehicle liability insurance required by section 251 of the Insurance Act.
(incertaug2005)

								
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